Information Overview

Provider Quick Reference Guide
Phone and contact information for providers

Ambulatory Patient Group (APG) Crosswalk

Provider Enrollment Forms

DOH Medicaid Update Website
Monthly publications of the New York State Department of Health, Office of Medicaid Management

Cycle Processing Calendar
Processing Calendar for corresponding claims cycle

Notifications
Information from paper mailings of notifications and letters to the Provider Community

eMedNY Paper Forms
Sample Forms which are intended to provide providers with advanced planning information

Formulary File
Drug information including NDC code, price, PA indicators and more

Timely Billing Information
Information for timely billing, including claim submissions older than 90 days and 2 years

ENROLLED PRACTITIONERS SEARCH (including OPRAs)
Individuals who Order/Prescribe/Refer/Attend services payable by fee-for-service
must be enrolled in the fee-for-service Medicaid Program. Billing/rendering providers should use
this search feature to confirm the individual is enrolled.

Physician Administered Drug (PAD) List
The Physician Administered Drug List (PAD)
is a list of physician-administered drugs that can be billed to the medical benefit using an appropriate
Healthcare Common Procedure Coding System (HCPCS) code and National Drug Code (NDC).

Online License Verification
Online application to verify license status, provided by the New York State Education Department

NYS Medicaid Exclusion List
A list of disqualified / sanctioned providers